888.908.MEDS Progressive Medical, Inc. has been chosen to

Progressive Medical, Inc. has been chosen to manage your workers' compensation prescription
plan on behalf of your insurer or employer.
Below is your First Fill® card that allows you to fill your initial workers’ compensation
prescriptions at your local pharmacy at no extra cost to you.
Questions?
888.908.6337
Instructions for the Company
 Fill in the ID/Auth# per the First Fill card below along with the name, date of birth and
gender.
 Instruct the injured worker to take the First Fill card and their prescription to the
pharmacy.
 Report the claim to the appropriate insurance company/TPA.
Note: If additional medications are required, the claims professional should contact Progressive Medical
to use our Retail Drug Card program. If additional First Fill cards are needed or if you have any questions
about the use of this program, please contact Progressive Medical at 888.908.MEDS and ask for the
Pharmacy Services Coordinator.
Questions?
Instructions for the Injured Worker
888.908.6337
 Report your injury to the appropriate staff.
 Below is a First Fill card that will allow you to obtain the “initial” prescriptions needed
upon injury with no out-of-pocket expense.
 A sample list of participating pharmacy chains that accept this First Fill card is on the
back of this sheet.
 Present your First Fill card and your prescription to the pharmacist.
 This card is for a one time use to receive your medications per your company benefits.
Use of this card is only for your workers’ compensation injury for which this claim was
made.
 If you have any questions, call Progressive Medical toll-free at 888.908.MEDS. Our
Client Services Specialists are available 24-hours a day to take care of your needs.
PLEASE NOTE: IF YOUR WORKERS’ COMPENSATION CLAIM IS ACCEPTED, YOU WILL RECEIVE
A RETAIL DRUG CARD IN THE MAIL. PRESENT THAT CARD WHEN FILLING OTHER INJURYRELATED PRESCRIPTIONS.
FIRST FILL® CARD
BIN#:
Restat 600471
888.908.MEDS
PCN:
7777
You may contact Progressive Medical, Inc. for
issues with your card, prior authorization or claim
rejections, by calling 888.908.6337.
Company Name: McKinney ISD
Group/Plan#: T072
Person Code:
Pharmacist: If you experience any problems,
please call 888.908.6337.
00 (zero, zero)
ID/Auth#:
SSN (9 digits, no dashes) Date (6 digits, no dashes)
E.g. if the SSN is 000-00-0000 and today’s date is May 21,
2007, the ID/Auth# is 000000000052107.
Injured Worker’s Name:
Date of Birth:
Gender:
Disclaimer: It is important to note the issue will be
determined by the claims department and the confirmation
of this treatment/ service request is in no way intended as
an endorsement of the treatment/service request, nor is it
intended to interfere with the provider from his or her duty
to adhere to any applicable practice standards.
Cuando una persona lesionada necesita medicamentos de inmediato, la opción con la tarjeta
First Fill (Surtir primero) le permite autorizar estas recetas y ayudarle a recuperarse.
¿Preguntas?
888.908.6337
Instrucciones para la compañía
 Anote el número de identificación/autorización en la tarjeta First Fill al verso junto con el
nombre, la fecha de nacimiento y el sexo.
 Indique al trabajador lesionado que lleve la tarjeta First Fill y su receta a la farmacia.
 Reporte la reclamación a la aseguradora/TPA apropiada.
Nota: Si se requiere recibir medicamentos adicionales
debe ponerse en contacto con Progressive Medical
Medicamentos al por Menor. Si se necesitan tarjetas
sobre cómo usar este programa, llame a Progressive
Coordinador de Farmaceuta.
continuamente, el profesional de reclamaciones
para utilizar nuestro programa de Tarjeta de
First Fill adicionales, o si tiene alguna pregunta
Medical al 888.908.MEDS y pida hablar con el
¿Preguntas?
Instrucciones para el trabajador lesionado:
888.908.6337
 Reporte la lesión al personal apropiado.
 En la parte inferior de este formulario aparece una tarjeta First Fill que le permitirá
obtener los medicamentos “iniciales” necesarios para la lesión sin costo de su propio
bolsillo.
 A continuación se encuentra una lista de muestra de las cadenas de farmacias
participantes que aceptan esta tarjeta First Fill.
 Presente su tarjeta First Fill y su receta al farmacéutico.
 Esta tarjeta sólo se puede usar una vez para recibir sus medicamentos de acuerdo con
los beneficios de su compañía. Utilícela únicamente para la lesión que cubre el seguro
de compensación a los trabajadores para la cual se presente el reclamo.
 Si tiene alguna pregunta, llame gratis a Progressive Medical al 888.908.MEDS.
Nuestros Especialistas de Servicios al Cliente están disponibles las 24 horas del día.
NOTA: SI SE ACEPTA SU RECLAMO DE SEGURO DE COMPENSACIÓN A LOS TRABAJADORES,
RECIBIRÁ POR CORREO UNA TARJETA DE FARMACIA AL POR MENOR. PRESENTE ESA
TARJETA AL SURTIR RECETAS SUBSECUENTES RELACIONADAS CON EL TRABAJO.
Sample Listing of Participating Pharmacies
The below is a sampling of pharmacies that honor our program:
Albertsons
Safeway
Meijer Pharmacy
Walgreens
K-Mart
Tops Markets
Longs Drug Stores
Giant Eagle Pharmacy
Publix Pharmacy
Rite Aid Pharmacy
Fred Meyer
Medicine Shoppe
Costco
Winn Dixie Pharmacy
CVS Pharmacy
Discount Drug Mart
Target Pharmacy
Wal-Mart Pharmacy
For additional pharmacies within your area call Progressive Medical’s Client Services
department at 888.908.6337 or visit our website at www.progressive-medical.com. Go to
Workers’ Compensation, Tools and Resources, Pharmacy Look-Up and enter your city, state or
zip code and click on “Submit”. You will see a listing of pharmacies in your area.